| NPI | 1891898326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01070531A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-101503) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-09-03 |